Enhanced outcomes in residual or recurrent craniopharyngioma : evaluating combined gamma knife and phosphorus-32 brachytherapy

© 2024. The Author(s), under exclusive licence to Federación de Sociedades Españolas de Oncología (FESEO)..

BACKGROUND: Managing residual and recurrent craniopharyngioma effectively is crucial for improving patient outcomes. This study evaluates the combined use of gamma knife and phosphorus-32 brachytherapy, offering insights into alternative, less invasive treatment strategies.

METHODS: We conducted a retrospective analysis of 97 patients treated from 2010 to 2016 for residual and recurrent craniopharyngioma using gamma knife and phosphorus-32 brachytherapy. We classified these patients into three groups: superficial solid (Group A), simple cystic (Group B), and mixed cystic-solid (Group C). We assessed the treatment's effectiveness by the tumor control rates and evaluated safety by monitoring vision, endocrine function improvements, and complication rates.

RESULTS: The treatment achieved complete and adequate control rates of 49.5% and 87.6%, respectively. We observed improvements in vision or visual fields in 55.1% of the patients. The morbidity rate was 15.5%. The study found no significant differences in tumor control rates among the various lesion types.

CONCLUSION: The combination of gamma knife and phosphorus-32 brachytherapy presents a viable, minimally invasive alternative for treating residual and recurrent craniopharyngioma. It offers high tumor control and functional improvement rates, suggesting its potential as a preferred strategy in some instances.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico - (2024) vom: 15. März

Sprache:

Englisch

Beteiligte Personen:

Ma, Jie [VerfasserIn]
Chen, Tao [VerfasserIn]
Zhang, Jianning [VerfasserIn]
Cao, Weidong [VerfasserIn]
Gao, Gan [VerfasserIn]
Yu, Xinguang [VerfasserIn]
Wang, Hongwei [VerfasserIn]

Links:

Volltext

Themen:

Brachytherapy
Craniopharyngioma
Journal Article
Phosphorus-32
Recurrent
Residual

Anmerkungen:

Date Revised 15.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1007/s12094-024-03435-2

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369786637